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Sportlerleiste

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Laparo-endoskopische Hernienchirurgie

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Zusammenfassung

Unter dem Begriff der Sportlerleiste werden verschiedene Entitäten subsummiert, sodass eine Differenzierung häufig schwierig ist. Aufgrund muskulärer Dysbalancen kommt es zu einer Schwächung der Leistenkanalhinterwand, woraus sich der Ansatz zur operativen Therapie ergibt. Wichtigstes Diagnostikum sind neben der bildgebenden Diagnostik klinische Tests und eine ausführliche Anamnese. Bei Versagen der konservativen Therapie über mehr als 3 Monate sollte eine kritische Prüfung der Operationsindikation vorgenommen werden. Neben den traditionellen offenen Operationstechniken mit und ohne Netzimplantation kann die Stabilisierung der Hinterwand des Leistenkanals auch endoskopisch via TEP oder TAPP erfolgen. Die Ergebnisse in der Literatur zeigen keine relevanten Unterschiede bezüglich der verschiedenen Operationstechniken. Die wissenschaftliche Daten- und Evidenzlage ist schlecht, sodass es sich häufig um Einzelfallentscheidungen auf der Basis der klinischen Erfahrung des Untersuchers/Therapeuten handelt.

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Author information

Authors and Affiliations

  1. Centro de Cirugía Mayor Ambulatoria Ave María, Avda. de la Palmera, 53, 41013, Sevilla, Spanien

    Dr. Salvador Morales-Conde

  2. Elisha Medical Center, Haifa, 38 Yefet St., Andromeda Hill 4/5, 68035, Tel Aviv, Israel

    Professor Moshe Dudai

  3. Praxis für Viszeral- und Hernienchirurgie, Gerhart-Hauptmann-Str. 15, 03044, Cottbus, Deutschland

    Dr. med. Andreas Koch

Authors
  1. Dr. Salvador Morales-Conde
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  2. Professor Moshe Dudai
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  3. Dr. med. Andreas Koch
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Editor information

Editors and Affiliations

  1. Stuttgart, Deutschland

    Reinhard Bittner

  2. Vivantes Klinikum Spandau, Berlin, Deutschland

    Ferdinand Köckerling

  3. Creighton University School of Medicine, Omaha, NE, USA

    Robert J. Fitzgibbons

  4. Our Lady of the Lake Physician Group, Baton Rouge, LA, USA

    Karl A. LeBlanc

  5. Creighton University School of Medicine, Omaha, NE, USA

    Sumeet Mittal

  6. Max Super Specialty Hospital Saket, New Delhi, India

    Pradeep Chowbey

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Morales-Conde, S., Dudai, M., Koch, A. (2018). Sportlerleiste. In: Bittner, R., Köckerling, F., Fitzgibbons, R.J., LeBlanc, K.A., Mittal, S., Chowbey, P. (eds) Laparo-endoskopische Hernienchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-56090-7_19

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  • DOI: https://doi.org/10.1007/978-3-662-56090-7_19

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-56089-1

  • Online ISBN: 978-3-662-56090-7

  • eBook Packages: Medicine (German Language)

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